$6.00
3.1 x 4 in / 1 Each · FSA/HSA

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FSA / HSA accepted
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Product Details
Specifications
TypeFoam dressing
Dimensions3.1 x 4 in, 5.1 x 6.3 in, or 6 x 7.5 in
Pack Size1 Each or Box of 5
MaterialFoam
HCPCS CodeA6212
ShapeOval
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|---|---|---|---|---|
| FSA / HSA | Eligible | Eligible | Eligible | Eligible |
| Prescription | Not required | Not required | Not required | Not required |
| HCPCS code | A6212 | A6209 | — | — |
| Type | Foam dressing | Silicone foam dressing | Silicone foam dressing | Silicone foam dressing |
| Pack Size | 1 Each or Box of 5 | 1 Each or Box of 5 | — | 1 Each or Box of 5 |
| Material | Foam | — | Silicone foam | Foam |
| Size | — | 3.5 x 3.5 inches | — | 4 x 12" |


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