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$24.00
4 x 4 in / Pack of 200 · FSA/HSA
Medline
Nonsterile 100% Cotton Woven Gauze Sponges 12-Ply
SKU: NON25412H
Nonsterile 100% Cotton Woven Gauze Sponges 12-Ply
Non-sterile 100% cotton woven gauze sponges, 12-ply, in 4 by 4 and 8 by 4 inch sizes, for wound dressings and packing.
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
$24.00
Regular price
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$24.00
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Product Details
Specifications
TypeWoven gauze sponge
Dimensions4 x 4 in or 8 x 4 in
Pack SizePack of 200 or Case of 2000
SterilityNon-sterile
HCPCS CodeA6217
Material100% cotton
Ply12-ply
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|---|---|---|---|---|
| FSA / HSA | Eligible | Eligible | Eligible | Eligible |
| Prescription | Not required | Not required | Not required | Not required |
| HCPCS code | A6217 | A6216 | A6402 | — |
| Type | Woven gauze sponge | Woven gauze sponge | Woven gauze sponge | Gauze sponge (X-ray detectable) |
| Dimensions | 4 x 4 in or 8 x 4 in | — | 2 x 2 in or 4 x 4 in | — |
| Pack Size | Pack of 200 or Case of 2000 | Bag of 200 or Case of 4000 | Box of 100, Case of 2400, or Case of 1200 | 1 Tray |
| Sterility | Non-sterile | Non-sterile | Sterile | — |
| Material | 100% cotton | 100% cotton | 100% cotton | — |
| Ply | 12-ply | 8-ply | 12-ply | 12-Ply or 16-Ply |
| Size | — | 4" x 4" | 2" x 2", 4" x 4" | 4 x 8" |