$3.72
1 Each · FSA/HSA

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FSA / HSA accepted
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Product Details
Specifications
TypeFenestrated foam dressing
Pack Size1 Each, Box of 30, or Case of 120
HCPCS CodeA6212
ShapeRound, 4"
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|---|---|---|---|---|
| FSA / HSA | Eligible | Eligible | Eligible | Eligible |
| Prescription | Not required | Not required | Not required | Not required |
| HCPCS code | A6212 | A6209 | — | — |
| Type | Fenestrated foam dressing | Silicone foam dressing | Silicone foam dressing | Silicone foam dressing |
| Pack Size | 1 Each, Box of 30, or Case of 120 | 1 Each or Box of 5 | 1 Each or Box of 5 | 1 Each, Box of 10, or Box of 5 |
| Size | — | 3.5 x 3.5 inches | 4 x 12" | — |
| Material | — | — | Foam | Foam |


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