$10.00
4 x 5 in / 1 Each · FSA/HSA

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FSA / HSA accepted
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Product Details
Specifications
TypePolymeric membrane dressing
Dimensions4 x 5 in or 5.25 x 5.25 in
Pack Size1 Each or Box of 15
HCPCS CodeA6212
MaterialPolymeric membrane
Size4 x 5 inch
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|---|---|---|---|---|
| FSA / HSA | Eligible | Eligible | Eligible | Eligible |
| Prescription | Not required | Not required | Not required | Not required |
| HCPCS code | A6212 | A6209 | — | — |
| Type | Polymeric membrane dressing | Silicone foam dressing | Silicone foam dressing | Silicone foam dressing |
| Pack Size | 1 Each or Box of 15 | 1 Each or Box of 5 | — | 1 Each or Box of 5 |
| Material | Polymeric membrane | — | Silicone foam | Foam |
| Size | 4 x 5 inch | 3.5 x 3.5 inches | — | 4 x 12" |


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