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$5.00
Box of 25 · FSA/HSA
Hartmann
Sterilux Premium Gauze Sponge Sterile 2's 4" x 4" 12-Ply
SKU: 56910000
Sterilux Premium Gauze Sponge Sterile 2's 4" x 4" 12-Ply
A Hartmann Sterilux Premium gauze sponge, sterile, 4 x 4 inch, 12-ply, Woven gauze, 12-ply.
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.
Regular price
$5.00
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$5.00
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Product Details
Specifications
TypeGauze sponge
Ply12
Size4 x 4"
HCPCS CodeA6402
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|---|---|---|---|---|
| FSA / HSA | Eligible | Eligible | Eligible | Eligible |
| Prescription | Not required | Not required | Not required | Not required |
| HCPCS code | A6402 | A6253, A6402 | A6216 | A6402 |
| Type | Gauze sponge | Wound drainage pack | Woven gauze sponge | Woven gauze sponge |
| Ply | 12 | — | 8-ply | 12-ply |
| Size | 4 x 4" | — | 4" x 4" | 2" x 2", 4" x 4" |
| Sterility | — | Sterile | Non-sterile | Sterile |
| Material | — | — | 100% cotton | 100% cotton |
| Pack Size | — | — | Bag of 200, Case of 4000 | Box of 100, Cases of 1200-2400 |