$79.00
4" x 4" / 1/2" · FSA/HSA

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FSA / HSA accepted
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Product Details
Specifications
TypeOstomy skin barrier (two-piece)
BarrierStomahesive (flexible)
Fitpre-cut (5 x 5 inches)
Flange2-1/4"
Opening1-1/2"
HCPCS CodeA4414
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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 |
| Flange | 2-1/4" | — | — | 45 mm (1-3/4") |
| Opening | 1-1/2" | 1-1/4" | — | — |

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