$4.00
3" x 3" / 1 Each · FSA/HSA

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Product Details
Specifications
TypeFoam dressing (nonadhesive)
MaterialHydrophilic polyurethane
Dimensions3" x 3", 4" x 5"
Pack Size1 each, Box of 10, Case of 100
HCPCS CodeA6210
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|---|---|---|---|---|
| FSA / HSA | Eligible | Eligible | Eligible | Eligible |
| Prescription | Not required | Not required | Not required | Not required |
| HCPCS code | A6210 | — | A6209 | — |
| Type | Foam dressing (nonadhesive) | Foam dressing | Foam dressing | Silicone foam dressing |
| Material | Hydrophilic polyurethane | — | — | Silicone foam |
| Size | — | 3 x 3 inches | 3.5 x 3.5 inches | — |
| Adhesive | — | Silicone | Silicone | — |
| Border | — | Silicone | None | — |

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