$24.00
4" x 4" / Pack of 200 · FSA/HSA

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FSA / HSA accepted
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Product Details
Specifications
TypeWoven gauze sponge
Material100% cotton
Dimensions4" x 4", 8" x 4"
Ply12-ply
SterilityNon-sterile
Pack Size200 per pack, Case of 2000
HCPCS CodeA6217
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|---|---|---|---|---|
| FSA / HSA | Eligible | Eligible | Eligible | Eligible |
| Prescription | Not required | Not required | Not required | Not required |
| HCPCS code | A6217 | A6253, A6402 | A6216 | A6402 |
| Type | Woven gauze sponge | Wound drainage pack | Woven gauze sponge | Woven gauze sponge |
| Material | 100% cotton | — | 100% cotton | 100% cotton |
| Ply | 12-ply | — | 8-ply | 12-ply |
| Sterility | Non-sterile | Sterile | Non-sterile | Sterile |
| Pack Size | 200 per pack, Case of 2000 | — | Bag of 200, Case of 4000 | Box of 100, Cases of 1200-2400 |
| Size | — | — | 4" x 4" | 2" x 2", 4" x 4" |

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