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$148.00
FSA/HSA
Lohmann & Rauscher
Lohmann & Rauscher Komprex II wavy foam sheet, 65 cm x 65 cm (26 in x 26 in), 10 mm thick.
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
$148.00
Regular price
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$148.00
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Product Details
Specifications
TypeFoam padding sheet, wavy
HCPCS CodeA4649
Item16985
BrandKomprex II
Size65 cm x 65 cm (26 in x 26 in)
Thickness10 mm (0.4 in)
MaterialPolyurethane foam strips in a polyester nonwoven fabric
PackagingIndividually wrapped
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|---|---|---|---|---|
| FSA / HSA | Eligible | Eligible | Eligible | Eligible |
| Prescription | Not required | Not required | Not required | Not required |
| HCPCS code | A4649 | — | A6413 | A6413 |
| Type | Foam padding sheet, wavy | Wound gel | Adhesive bandages | Adhesive bandages |
| Size | 65 cm x 65 cm (26 in x 26 in) | 0.5 oz | 1" x 3" | 7/8" |
| Material | Polyurethane foam strips in a polyester nonwoven fabric | — | Woven fabric | Woven fabric |
| Pack Size | — | 1 Each or Case of 12 | Box of 100 or Case of 1200 | Box of 100 or Case of 1200 |
| Sterility | — | — | Sterile | Sterile |