$14.34
0.5 (4 in x 25 yd) · FSA/HSA

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Product Details
Specifications
TypeElastic dressing retention net
Size0.5 (4 in x 25 yd), 1 (6 in x 25 yd), 2 (7 in x 25 yd), 3 (9 in x 25 yd), 4 (11 in x 25 yd), 5 (12 in x 25 yd), 6 (17 in x 25 yd), 7 (28 in x 25 yd), 8 (31 in x 25 yd), 9 (35 in x 25 yd), 10 (41 in x 25 yd), 11 (46 in x 25 yd), 12 (56 in x 25 yd), or 22 (80 in x 25 yd)
HCPCS CodeA6457
MaterialRayon/polyester
Dimensions4" to 80" widths x 25 yds
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|---|---|---|---|---|
| FSA / HSA | Eligible | Eligible | Eligible | Eligible |
| Prescription | Not required | Not required | Not required | Not required |
| HCPCS code | A6457 | — | A6457 | A6457 |
| Type | Elastic dressing retention net | Tubular support bandage | Elastic wound retainer net | Tubular elastic dressing retainer |
| Size | 0.5 (4 in x 25 yd), 1 (6 in x 25 yd), 2 (7 in x 25 yd), 3 (9 in x 25 yd), 4 (11 in x 25 yd), 5 (12 in x 25 yd), 6 (17 in x 25 yd), 7 (28 in x 25 yd), 8 (31 in x 25 yd), 9 (35 in x 25 yd), 10 (41 in x 25 yd), 11 (46 in x 25 yd), 12 (56 in x 25 yd), or 22 (80 in x 25 yd) | — | — | Size 1, Size 11, Size 12, Size 14, or Size 22 |
| Material | Rayon/polyester | — | Rayon/polyester | — |
| Dimensions | 4" to 80" widths x 25 yds | 2-3/4 in x 11 yd, 3 in x 11 yd, 3-1/2 in x 11 yd, 4 in x 11 yd, 4-1/2 in x 11 yd, or 6-3/4 in x 11 yd | 1 x 24 in, 2 x 24 in, 3 x 24 in, 4 x 24 in, 6 x 24 in, 8 x 24 in, or 9 x 24 in | 6-7/8 in x 25 yd, 40 in x 25 yd, 42 in x 25 yd, 46 in x 25 yd, or 72 in x 25 yd |
| Pack Size | — | 1 Box or Case of 12 | 1 Each or Case of 25 | — |


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