$59.56
4 x 4 in / Tan / 1-1/4 in · FSA/HSA

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Product Details
Specifications
TypeOstomy skin barrier (two-piece)
Dimensions4 x 4 in or 5 x 5 in
ColorTan or White
Stoma Opening Size1-1/4 in, 1-1/2 in, 1-3/4 in, 2-1/4 in, or 2-3/4 in
HCPCS CodeA4414
BarrierStomahesive (flexible)
Fitcut-to-fit (4 x 4 inches, up to 3/4")
Flange1-1/4"
Openingup to 3/4"
In the box
- ConvaTec SUR-FIT Natura Stomahesive cut-to-fit skin barriers (10)
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|---|---|---|---|---|
| FSA / HSA | Eligible | Eligible | Eligible | Eligible |
| Prescription | Not required | Not required | Not required | Not required |
| HCPCS code | A4414 | A4361 | A4425 | A4434 |
| Type | Ostomy skin barrier (two-piece) | Ostomy faceplate | Flat Drainable Ostomy Pouch | Ostomy pouch |
| Dimensions | 4 x 4 in or 5 x 5 in | — | — | 1-3/4 in or 2-1/4 in |
| Color | Tan or White | — | Black | — |
| Flange | 1-1/4" | — | — | 45 mm (1-3/4") |
| Opening | up to 3/4" | 1-1/4" | — | — |


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