Esteem synergy+ Adhesive Coupling Technology 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
- 10, 30
- Flange sizes
- Not found in our sources
- HCPCS code(s)
- A4419 (Convatec product page (ordering table))
- Lowest cash price seen
- From $65.86 / Box of 30 ($2.20 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 |
|---|---|---|---|---|
416774 | 8" pouch with 1-sided comfort panel and filter — Transparent | 30 per box | A4419 | $70.62 / Box of 30 Vitality Medical · Nov 4, 2026 |
416775 | 8" pouch with 2-sided comfort panel and filter — Opaque | 30 per box | A4419 | $69.72 / Box of 30 Vitality Medical · Nov 4, 2026 |
416776 | 6" mini pouch with 1-sided comfort panel and filter — Transparent | 30 per box | A4419 | — |
416777 | 6" mini pouch with 2-sided comfort panel and filter — Opaque | 30 per box | A4419 | — |
416778 | 8" pouch with 1-sided comfort panel and filter — Transparent | 30 per box | A4419 | $68.66 / Box of 30 Vitality Medical · Nov 4, 2026 |
416779 | 8" pouch with 2-sided comfort panel and filter — Opaque | 30 per box | A4419 | $65.86 / Box of 30 Vitality Medical · Nov 4, 2026 |
416780 | 6" mini pouch with 1-sided comfort panel and filter — Transparent | 30 per box | A4419 | — |
416781 | 6" mini pouch with 2-sided comfort panel and filter — Opaque | 30 per box | A4419 | — |
416782 | 8" pouch with 1-sided comfort panel and filter — Transparent | 30 per box | A4419 | $70.20 / Box of 30 Vitality Medical · Nov 4, 2026 |
416783 | 8" pouch with 2-sided comfort panel and filter — Opaque | 10 per box | A4419 | $69.72 / Box of 30 Vitality Medical · Nov 4, 2026 |
Medicare usual maximums for these codes
- A4419: Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each. Usual maximum in LCD L33828: 60 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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