New Image Two-Piece Drainable Ostomy Kit – CeraPlus Skin Barrier, Lock 'n Roll Microseal Closure
HollisterPouches2-pieceDrainable
- Brand
- Hollister
- Category
- Pouches
- System
- 2-piece
- Pouch type
- Drainable
- Barrier type
- Not found in our sources
- Opening
- Cut-to-fit
- Filter
- Not found in our sources
- Box quantity
- 5
- Flange sizes
- 2 3/4 Inch Flange
- HCPCS code(s)
- A5063 (Hollister product page)
- Lowest cash price seen
- From $61.95 / Box of 5 ($12.39 each)
Vitality Medical, Nov 4, 2026 - 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. The retailer page says the manufacturer labels this item Rx only.
| Code | Description / size | Box | HCPCS | Price seen |
|---|---|---|---|---|
19602 | Cut-to-Fit, Up to 1-1/4 Inch, Flange Size: 1-3/4 Inch, CeraPlus Barrier, Non Sterile with Tape, Green, Lock 'n Roll Closure Description from Vitality Medical listing | Box of 5 | A5063 | $61.95 / Box of 5 Vitality Medical · Nov 4, 2026 |
19603 | Cut-to-Fit, Up to 1-3/4 Inch, Flange Size: 2-1/4 Inch, CeraPlus Barrier, Non Sterile with Tape, Red, Lock 'n Roll Closure Description from Vitality Medical listing | Box of 5 | A5063 | $65.87 / Box of 5 Vitality Medical · Nov 4, 2026 |
19604 | Non-Sterile, 2 3/4 Inch Flange, Blue with Clamp Closure Description from Vitality Medical listing | Box of 5 | A5063 | $62.65 / Box of 5 Vitality Medical · Nov 4, 2026 |
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*
- With tape border
- Lock 'n Roll microseal closure
- Ultra-clear odor-barrier pouch film
- Cut-to-fit skin barrier
- Non sterile
As described on the source page.
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