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$8.35
Tray of 10 · FSA/HSA
Medline
Standard Sterile Nonwoven Gauze Sponges Avant 4" x 4" 4ply 10/tr
SKU: NON21449H
Standard Sterile Nonwoven Gauze Sponges Avant 4" x 4" 4ply 10/tr
Avant standard sterile nonwoven gauze sponges, 4 by 4 inches, 4-ply, in a rayon/polyester blend, packed 10 per tray.
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.
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$8.35
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Product Details
Specifications
TypeNonwoven gauze sponge
Pack SizeTray of 10 or Case of 1280
Size4" x 4"
Ply4-ply
SterilitySterile
HCPCS CodeA6402
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|---|---|---|---|---|
| FSA / HSA | Eligible | Eligible | Eligible | Eligible |
| Prescription | Not required | Not required | Not required | Not required |
| HCPCS code | A6402 | A6216 | A6402 | — |
| Type | Nonwoven gauze sponge | Woven gauze sponge | Woven gauze sponge | Gauze sponge (X-ray detectable) |
| Pack Size | Tray of 10 or Case of 1280 | Bag of 200 or Case of 4000 | Box of 100, Case of 2400, or Case of 1200 | 1 Tray or Case of 48 |
| Size | 4" x 4" | 4" x 4" | 2" x 2", 4" x 4" | 4 x 8" |
| Ply | 4-ply | 8-ply | 12-ply | 12-Ply or 16-Ply |
| Sterility | Sterile | Non-sterile | Sterile | — |
| Material | — | 100% cotton | 100% cotton | — |