New Image Two-Piece Drainable Mini Ostomy Pouch – Clamp Closure
HollisterPouches2-pieceDrainable
- Brand
- Hollister
- Category
- Pouches
- System
- 2-piece
- Pouch type
- Drainable
- Barrier type
- Not found in our sources
- Opening
- Not found in our sources
- Filter
- Not found in our sources
- Box quantity
- 10
- Flange sizes
- Not found in our sources
- HCPCS code(s)
- A5063 (Hollister product page)
- Lowest cash price seen
- No sourced price yet
- Source
- hollister.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 |
|---|---|---|---|---|
18202 | Box of 10 | A5063 | — | |
18203 | Box of 10 | A5063 | — | |
18204 | Box of 10 | A5063 | — |
Medicare usual maximums for these codes
- A5063: Ostomy pouch, drainable; for use on barrier with flange (2 piece system), 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.
Manufacturer-listed features
- Curved, beige pouch clamp
- Beige pouch flange
- Odor-barrier pouch film
- Designed to be used with any New Image two-piece skin barrier with same flange size
- Belt tabs
As described on the source page.
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