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CPAP Masks
Fisher & Paykel Forma™ Full Face CPAP Mask Assembly Kit
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Fisher & Paykel Forma™ Full Face CPAP Mask Assembly Kit
Your Price:
$136.00
Part Number:
400HC315/400HC55x
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Description
Feature 6
We are now offering Mask Assembly Kits to patients who need parts to refresh or rebuild their masks. This Assembly Kit includes the mask frame/cushion combo, and, optionally, you can add the headgear.
The Fisher & Paykel Forma™ Full Face Mask Assembly Kit includes the following:
The Forma™ full face mask frame system with one cushion (you may select one of the following):
400HC552 – Small
400HC553 - Medium
400HC554 – Large
400HC555 – Extra-Large
Optional Selection :
400HC315 – Headgear
Without the additional headgear, this package only includes the mask cushion and frame.
HCPCS Reimbursement Code:
A7030, A7035, A7031
Included In Box:
Mask frame, cushion, optional headgear
Brand/Manufacturer:
Fisher & Paykel
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