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$210.00
10-55MM · FSA/HSA
ConvaTec
Esteem Body Closed End Pouch LW Soft Convexity Transparent 30 Count
SKU: 423689
Esteem Body Closed End Pouch LW Soft Convexity Transparent 30 Count
A Convatec Esteem Body one-piece soft-convex closed-end pouch with a cut-to-fit (10-55 mm) Modified Stomahesive barrier, 10-55 mm, opaque (with window), 9 inch.
FSA/HSA Eligible
This item can typically be purchased with an FSA or HSA card at checkout. Eligibility can vary by plan, so check with your plan administrator if you are unsure.
Regular price
$210.00
Regular price
Sale price
$210.00
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Product Details
Specifications
TypeOstomy pouch (one-piece)
DrainClosed-end
ProfileSoft convex
BarrierModified Stomahesive
Fitcut-to-fit (10-55 mm)
Opening10-55 mm
Coloropaque (with window)
Length9 inch
Convex Depth7 mm
HCPCS CodeA4417
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|---|---|---|---|---|
| FSA / HSA | Eligible | Eligible | Eligible | Eligible |
| Prescription | Not required | Not required | Not required | Not required |
| HCPCS code | A4417 | A4375 | A4393 | A4390 |
| Type | Ostomy pouch (one-piece) | One-piece ostomy pouch | Ostomy pouch | Ostomy pouch |
| Drain | Closed-end | — | Urinary | Drainable |
| Profile | Soft convex | — | Shallow convex | Shallow convex |
| Fit | cut-to-fit (10-55 mm) | — | Pre-cut | — |
| Opening | 10-55 mm | — | 1-1/4 inch | — |
| Pieces | — | — | One-piece | One-piece |