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SUR-FIT Natura Two-Piece Closed-End Pouch

Brand: Convatec
Category: Pouches
System: 2-piece
Pouch type: Closed
Barrier type: Not found in our sources
Opening: Not found in our sources
Filter: Yes
Box quantity: 20, 25
Flange sizes: 32mm (1¼") flange, 45mm (1¾") flange
HCPCS code(s): A5054, A5055 (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
`401529`	5" mini Pouch with 1-sided comfort panel — Opaque	20 per box	A5054	—
`401909`	Flange cap with filter and 1-sided comfort panel — Opaque	25 per box	A5055	—

Medicare usual maximums for these codes

A5054: Ostomy pouch, closed; for use on barrier with flange (2 piece), each. Usual maximum in LCD L33828: 60 per month.
A5055: Stoma cap. Usual maximum in LCD L33828: 31 per month.

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