Esteem+ One-Piece Drainable Pouch
ConvatecPouches1-pieceDrainableFlat
- Brand
- Convatec
- Category
- Pouches
- System
- 1-piece
- Pouch type
- Drainable
- Barrier type
- Flat (from product name)
- Opening
- Cut-to-fit, Pre-cut
- Filter
- No
- Box quantity
- 10
- Flange sizes
- Not found in our sources
- HCPCS code(s)
- A4424, A5056, A5061 (Convatec product page (ordering table))
- Lowest cash price seen
- From $66.53 / Box of 10 ($6.65 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 |
|---|---|---|---|---|
416732 | Pre-Cut, modified Stomahesive Skin Barrier; 12" pouch with 1-sided comfort panel, InvisiClose Tail Closure and filter — Transparent | 10 per box | A4424 | — |
416733 | Pre-Cut, modified Stomahesive Skin Barrier; 12" pouch with 2-sided comfort panel, InvisiClose Tail Closure and filter — Opaque | 10 per box | A4424 | — |
416718 | Cut-to-Fit, modified Stomahesive Skin Barrier; 12" pouch with 1-sided comfort panel, InvisiClose Tail Closure and filter — Transparent | 10 per box | A4424 | — |
416719 | Cut-to-Fit, modified Stomahesive Skin Barrier; 12" pouch with 2-sided comfort panel, InvisiClose Tail Closure and filter — Opaque | 10 per box | A4424 | — |
416721 | Cut-to-Fit, modified Stomahesive Skin Barrier; 12" pouch with 1-sided comfort panel and InvisiClose Tail Closure; no filter — Transparent | 10 per box | A5061 | — |
416724 | Pre-Cut, modified Stomahesive Skin Barrier; 12" pouch with 1-sided comfort panel, InvisiClose Tail Closure and filter — Transparent | 10 per box | A4424 | — |
416725 | Pre-Cut, modified Stomahesive Skin Barrier; 12" pouch with 2-sided comfort panel, InvisiClose Tail Closure and filter — Opaque | 10 per box | A4424 | — |
416728 | Pre-Cut, modified Stomahesive Skin Barrier; 12" pouch with 1-sided comfort panel, InvisiClose Tail Closure and filter — Transparent | 10 per box | A4424 | — |
416729 | Pre-Cut, modified Stomahesive Skin Barrier; 12" pouch with 2-sided comfort panel, InvisiClose Tail Closure and filter — Opaque | 10 per box | A4424 | — |
416736 | Pre-Cut, modified Stomahesive Skin Barrier; 12" pouch with 1-sided comfort panel, InvisiClose Tail Closure and filter — Transparent | 10 per box | A4424 | — |
416975 | Cut-to-Fit, Durahesive Plus Skin Barrier; 12" pouch with 2-sided comfort panel and InvisiClose Tail Closure, filter and belt tabs — Opaque | 10 per box | A5056 | $66.53 / Box of 10 Vitality Medical · Nov 4, 2026 |
416976 | Cut-to-Fit, Durahesive Plus Skin Barrier; 12" pouch with 1-sided comfort panel and InvisiClose Tail Closure. filter and belt tabs — Transparent | 10 per box | A5056 | — |
416737 | Pre-Cut, modified Stomahesive Skin Barrier; 12" pouch with 2-sided comfort panel, InvisiClose Tail Closure and filter — Opaque | 10 per box | A4424 | — |
416908 | Cut-To-Fit, Double-layer (Stomahesive, body side; Durahesive, outer side) Skin Barrier; 14" pouch with 1-sided comfort panel, InvisiClose Tail Closure; no filter — Transparent | 10 per box | A5061 | — |
421025 | Pre-Cut, Durahesive Plus Skin Barrier; 12" pouch with 2-sided comfort panel and InvisiClose Tail Closure and filter — Opaque | 10 per box | A4424 | — |
421026 | Pre-Cut, Durahesive Plus Skin Barrier; 12" pouch with 2-sided comfort panel and InvisiClose Tail Closure and filter — Opaque | 10 per box | A4424 | — |
421027 | Pre-Cut, Durahesive Plus Skin Barrier; 12" pouch with 2-sided comfort panel and InvisiClose Tail Closure and filter — Opaque | A4424 | — | |
421028 | Pre-Cut, Durahesive Plus Skin Barrier; 12" pouch with 2-sided comfort panel and InvisiClose Tail Closure and filter — Opaque | A4424 | — | |
421029 | Pre-Cut, Durahesive Plus Skin Barrier; 12" pouch with 2-sided comfort panel and InvisiClose Tail Closure and filter — Opaque | 10 per box | A4424 | — |
Medicare usual maximums for these codes
- A4424: Ostomy pouch, drainable, with barrier attached, with filter (1 piece), each. Usual maximum in LCD L33828: 20 per month.
- A5056: Ostomy pouch, drainable, with extended wear barrier attached, with filter, (1 piece), each. Usual maximum in LCD L33828: 40 per month.
- A5061: Ostomy pouch, drainable; with barrier attached, (1 piece), each. Usual maximum in LCD L33828: 20 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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