$9.00
6" x 6.75" / Pack of 2 · FSA/HSA

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FSA / HSA accepted
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Product Details
Specifications
TypeFluff sponge gauze
Dimensions6" x 6.75", 7.75" x 8.75"
SterilitySterile
Pack SizeBox of 40, Cases of 400-480
HCPCS CodeA6403
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|---|---|---|---|---|
| FSA / HSA | Eligible | Eligible | Eligible | Eligible |
| Prescription | Not required | Not required | Not required | Not required |
| HCPCS code | A6403 | A6253, A6402 | A6216 | A6402 |
| Type | Fluff sponge gauze | Wound drainage pack | Woven gauze sponge | Woven gauze sponge |
| Sterility | Sterile | Sterile | Non-sterile | Sterile |
| Pack Size | Box of 40, Cases of 400-480 | — | Bag of 200, Case of 4000 | Box of 100, Cases of 1200-2400 |
| Material | — | — | 100% cotton | 100% cotton |
| Size | — | — | 4" x 4" | 2" x 2", 4" x 4" |
| Ply | — | — | 8-ply | 12-ply |


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