$1.99
1 Each · FSA/HSA

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Product Details
Specifications
TypeDrain sponge (non-woven)
Pack Size1 Each, Box of 25, or Case of 300
SterilitySterile
Size4 x 4"
HCPCS CodeA6402
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|---|---|---|---|---|
| FSA / HSA | Eligible | Eligible | Eligible | Eligible |
| Prescription | Not required | Not required | Not required | Not required |
| HCPCS code | A6402 | A6253, A6402 | A6266 | A6219 |
| Type | Drain sponge (non-woven) | Wound drainage pack | Iodoform packing strips | Gauze dressing |
| Pack Size | 1 Each, Box of 25, or Case of 300 | — | 1 Each or Case of 12 | 1 Each or Box of 10 |
| Sterility | Sterile | Sterile | Sterile | — |


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