New Image Two-Piece Drainable Ostomy Kit – CeraPlus Skin Barrier, Clamp Closure, Tape
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
- 5
- 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 |
|---|---|---|---|---|
19612 | Box of 5 | A5063 | — | |
19613 | Box of 5 | A5063 | — | |
19614 | Box of 5 | A5063 | — | |
19802 | Box of 5 | A5063 | — | |
19803 | Box of 5 | A5063 | — | |
19804 | Box of 5 | 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
- CeraPlus Extended Wear Flat Skin Barrier*
- Tape border
- Curved, beige pouch clamp
- Ultra-clear odor-barrier pouch film
- Cut-to-fit skin barrier
- Non sterile
As described on the source page.
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