$8.00
2" x 2" / Box of 100 · FSA/HSA

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FSA / HSA accepted
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Product Details
Specifications
TypeWoven gauze sponge
Material100% cotton
Size2" x 2", 4" x 4"
Ply12-ply
SterilitySterile
Pack SizeBox of 100, Cases of 1200-2400
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 | A6266 |
| Type | Woven gauze sponge | Wound drainage pack | Woven gauze sponge | Iodoform packing strips |
| Material | 100% cotton | — | 100% cotton | 100% cotton with iodoform |
| Size | 2" x 2", 4" x 4" | — | 4" x 4" | — |
| Ply | 12-ply | — | 8-ply | — |
| Sterility | Sterile | Sterile | Non-sterile | Sterile |
| Pack Size | Box of 100, Cases of 1200-2400 | — | Bag of 200, Case of 4000 | 1 each, Case of 12 |

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