$2.01
NonSterile / Box of 200 / 8-Ply · FSA/HSA

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Product Details
Specifications
TypeGauze sponge
SterilityNonSterile or Sterile
Pack SizeBox of 200, Pack of 200, Case of 5000, Case of 8000, 1 Each, Box of 50, Box of 100, 1 Pack, Case of 1500, or Case of 2400
Ply8-Ply or 12-Ply
Size2 x 2"
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|---|---|---|---|---|
| FSA / HSA | Eligible | Eligible | Eligible | Eligible |
| Prescription | Not required | Not required | Not required | Not required |
| HCPCS code | — | A6216 | A6402 | — |
| Type | Gauze sponge | Woven gauze sponge | Woven gauze sponge | Gauze sponge (X-ray detectable) |
| Sterility | NonSterile or Sterile | Non-sterile | Sterile | — |
| Pack Size | Box of 200, Pack of 200, Case of 5000, Case of 8000, 1 Each, Box of 50, Box of 100, 1 Pack, Case of 1500, or Case of 2400 | Bag of 200 or Case of 4000 | Box of 100, Case of 2400, or Case of 1200 | 1 Tray or Case of 48 |
| Ply | 8-Ply or 12-Ply | 8-ply | 12-ply | 12-Ply or 16-Ply |
| Size | 2 x 2" | 4" x 4" | 2" x 2", 4" x 4" | 4 x 8" |
| Material | — | 100% cotton | 100% cotton | — |


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