Esteem+ One-Piece Closed-end Pouch
ConvatecPouches1-pieceClosedFlat
- Brand
- Convatec
- Category
- Pouches
- System
- 1-piece
- Pouch type
- Closed
- Barrier type
- Flat (from product name)
- Opening
- Cut-to-fit, Pre-cut
- Filter
- Yes
- Box quantity
- 30
- Flange sizes
- Not found in our sources
- HCPCS code(s)
- A4416 (Convatec product page (ordering table))
- Lowest cash price seen
- From $95.58 / Box of 30 ($3.19 each)
Vitality Medical, Nov 4, 2026 - Source
- convatec.com · 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 |
|---|---|---|---|---|
416703 | Esteem + One-Piece Closed-End 8 Pouch with Modified Stomahesive Pre-Cut Skin Barrier with Filter Transparent with 1-sided comfort panel and no tape collar — Transparent | 30 | A4416 | $95.58 / Box of 30 Vitality Medical · Nov 4, 2026 |
416706 | Esteem + One-Piece Closed-End 8 Pouch with Modified Stomahesive Pre-Cut Skin Barrier with Filter Transparent with 1-sided comfort panel and no tape collar — Transparent | 30 | A4416 | $99.61 / Box of 30 Vitality Medical · Nov 4, 2026 |
416709 | Esteem + One-Piece Closed-End 8 Pouch with Modified Stomahesive Pre-Cut Skin Barrier with Filter Transparent with 1-sided comfort panel and no tape collar — Transparent | 30 | A4416 | $99.61 / Box of 30 Vitality Medical · Nov 4, 2026 |
416712 | Esteem + One-Piece Closed-End 8 Pouch with Modified Stomahesive Pre-Cut Skin Barrier with Filter Transparent with 1-sided comfort panel and no tape collar — Transparent | 30 | A4416 | $100.20 / Box of 30 Vitality Medical · Nov 4, 2026 |
421687 | Esteem + One-Piece Closed-End 8 Pouch with Modified Stomahesive Pre-Cut Skin Barrier with Filter Opaque (with window) with 2-sided comfort panel and no tape collar — Opaque | 30 | A4416 | $99.06 / Box of 30 Vitality Medical · Nov 4, 2026 |
421688 | Esteem + One-Piece Closed-End 8 Pouch with Modified Stomahesive Pre-Cut Skin Barrier with Filter Opaque (with window) with 2-sided comfort panel and no tape collar — Opaque | 30 | A4416 | — |
421689 | Esteem + One-Piece Closed-End 8 Pouch with Modified Stomahesive Pre-Cut Skin Barrier with Filter Opaque (with window) with 2-sided comfort panel and no tape collar — Opaque | 30 | A4416 | $99.06 / Box of 30 Vitality Medical · Nov 4, 2026$99.06 / Box of 30 Vitality Medical · Nov 4, 2026 |
421816 | Esteem + One-Piece Closed-End 6 Pouch with Modified Stomahesive Cut-to-Fit Skin Barrier with Filter Opaque (with window) with 2-sided comfort panel and no tape collar — Opaque | 30 | A4416 | — |
421821 | Esteem + One-Piece Closed-End 8 Pouch with Modified Stomahesive Pre-Cut Skin Barrier with Filter Opaque (with window) with 2-sided comfort panel and no tape collar — Opaque | 30 | A4416 | $96.26 / Box of 30 Vitality Medical · Nov 4, 2026 |
421822 | Esteem + One-Piece Closed-End 8 Pouch with Modified Stomahesive Pre-Cut Skin Barrier with Filter Opaque (with window) with 2-sided comfort panel and no tape collar — Opaque | 30 | A4416 | $99.61 / Box of 30 Vitality Medical · Nov 4, 2026 |
421823 | Esteem + One-Piece Closed-End 8 Pouch with Modified Stomahesive Pre-Cut Skin Barrier with Filter Opaque (with window) with 2-sided comfort panel and no tape collar — Opaque | 30 | A4416 | $99.08 / Box of 30 Vitality Medical · Nov 4, 2026 |
Medicare usual maximums for these codes
- A4416: Ostomy pouch, closed, with barrier attached, 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.
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