Esteem+ One-Piece Moldable Drainable Pouch
ConvatecPouches1-pieceDrainableMoldable
- Brand
- Convatec
- Category
- Pouches
- System
- 1-piece
- Pouch type
- Drainable
- Barrier type
- Moldable (from product name)
- Opening
- Moldable
- Filter
- Yes
- Box quantity
- 10
- Flange sizes
- Not found in our sources
- HCPCS code(s)
- A4416, A4424 (Convatec product page (ordering table))
- Lowest cash price seen
- No sourced price yet
- 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.
| Code | Description / size | Box | HCPCS | Price seen |
|---|---|---|---|---|
413511 | Moldable, Stomahesive Skin Barrier; Transparent 12" pouch with 1-sided comfort panel, InvisiClose Tail Closure and filter (ConvaTec will no longer sell this product as of 8/1/2020) — Opaque | 10 per box | A4416 | — |
413515 | Moldable, Stomahesive Skin Barrier; Transparent 12" pouch with 1-sided comfort panel, InvisiClose Tail Closure and filter — Transparent | 10 per box | A4424 | — |
413516 | Moldable, Stomahesive Skin Barrier; Transparent 12" pouch with 1-sided comfort panel, InvisiClose Tail Closure and filter — Transparent | 10 per box | A4424 | — |
413517 | Moldable, Stomahesive Skin Barrier; Transparent 12" pouch with 1-sided comfort panel, InvisiClose Tail Closure and filter — Transparent | 10 per box | A4424 | — |
413521 | Moldable, Stomahesive Skin Barrier; Opaque 12" pouch with 2-sided comfort panel, InvisiClose Tail Closure and filter — Tan | 10 per box | — | |
413522 | Moldable, Stomahesive Skin Barrier; Opaque 12" pouch with 2-sided comfort panel, InvisiClose Tail Closure and filter — Tan | 10 per box | — | |
413523 | Moldable, Stomahesive Skin Barrier; Opaque 12" pouch with 2-sided comfort panel, InvisiClose Tail Closure and filter — Opaque | 10 per box | — |
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.
- A4424: Ostomy pouch, drainable, with barrier attached, with filter (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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