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SenSura Mio Convex Soft 1-piece closed pouch

Coloplast Pouches 1-piece Closed Soft convex

Brand: Coloplast
Category: Pouches
System: 1-piece
Pouch type: Closed
Barrier type: Soft convex (from product name)
Opening: Not found in our sources
Filter: Yes
Box quantity: 10
Flange sizes: Not found in our sources
HCPCS code(s): A4417 (Coloplast product page (variant name))
Lowest cash price seen: From $37.15 / Box of 10 ($3.71 each)
Vitality Medical, Nov 4, 2026
Source: products.coloplast.us · checked Nov 4, 2026

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Sizes, codes and prices

Prices are cash prices one retailer listed on the date shown, per the retailer's unit. Retailer links are marked as sponsored for search engines and may become affiliate links later. We do not take referral fees from suppliers that bill Medicare. The retailer page says the manufacturer labels this item Rx only.

Code	Description / size	Box	HCPCS	Price seen
`16301`	Midi (7 1/4in / 340mL) - Stoma size: 5/8in - 1 5/16in - with filter, Opaque Opaque gray	10 per box	A4417	$39.43 / Box of 10 Vitality Medical · Nov 4, 2026
`16305`	Maxi (8 1/4in / 550mL) - Stoma size: 15-33mm \| 5/8 - 1 5/16in - w filter, Opaque gray	10 per box	A4417	$39.01 / Box of 10 Vitality Medical · Nov 4, 2026
`16306`	Maxi (8 1/4in / 550mL) - Stoma size: 10-50mm \| 3/8 - 2in - with filter, Opaque gray	10 per box	A4417	$37.15 / Box of 10 Vitality Medical · Nov 4, 2026
`16310`	Maxi (8 1/4in / 550mL) - Stoma size: 25mm \| 1in - with filter, Opaque gray	10 per box	A4417	$42.22 / Box of 10 Vitality Medical · Nov 4, 2026
`16311`	Maxi (8 1/4in / 550mL) - Stoma size: 28mm \| 1 1/8in - with filter, Opaque gray	10 per box	A4417	$37.15 / Box of 10 Vitality Medical · Nov 4, 2026
`16312`	Maxi (8 1/4in / 550mL) - Stoma size: 31mm \| 1 1/4in - with filter, Opaque gray	10 per box	A4417	$37.15 / Box of 10 Vitality Medical · Nov 4, 2026
`16313`	Maxi (8 1/4in / 550mL) - Stoma size: 35mm \| 1 3/8in - with filter, Opaque gray	10 per box	A4417	$39.01 / Box of 10 Vitality Medical · Nov 4, 2026
`16315`	Maxi (8 1/4in / 550mL) - Stoma Size: 10-5mm \| 3/8 - 2in - with filter, Transparent	10 per box	A4417	$39.01 / Box of 10 Vitality Medical · Nov 4, 2026
`19700`	Midi (7 1/4in / 340mL) -Stoma size: 15-33mm \|5/8 - 1 5/16in - with filter, Opaque black	10 per box	A4417	—
`19701`	Maxi (8 1/4in / 550mL) -Stoma size: 15-33mm \|5/8 - 1 5/16in - with filter, Opaque black	10 per box	A4417	—
`19702`	Maxi (8 1/4in / 550mL) -Stoma size: 10-50mm \|3/8 - 2in - with filter, Opaque black	10 per box	A4417	—
`19703`	Maxi (8 1/4in / 550mL) -Stoma size: 25-33mm \|1 - 1 5/16in - with filter, Opaque black	10 per box	A4417	—
`19704`	Maxi (8 1/4in / 550mL) - Stoma size: 28-33mm \|1 1/8in - with filter, Opaque black	10 per box	A4417	—
`19705`	Maxi (8 1/4in / 550mL) -Stoma size: 31-50mm \|1 1/4 - 2in - with filter, Opaque black	10 per box	A4417	—
`19706`	Maxi (8 1/4in / 550mL) -Stoma size: 35-50mm \|1 3/8 - 2in - with filter, Opaque black	10 per box	A4417	—

Medicare usual maximums for these codes

A4417: Ostomy pouch, closed, with barrier attached, with built-in convexity, with filter (1 piece), each. Usual maximum in LCD L33828: 60 per month.

From our Medicare guide (LCD L33828). Informational only; coverage depends on your plan and documentation. Confirm with your supplier or plan.