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* Hover on the information button next to each header for detailed explanation on the type of information provided by the table Product Estimated Out-of-pocket Cost Recom / Evidence FDA Safety Quality Measures Cost Effectiveness Product Estimated Out-of-pocket Cost Application: Can be used as primary dressing Depth: Full thickness (deep) Depth: Partial thickness (shallow) Exudate: Low Exudate: Moderate Indications: May be applied over infected tissue Medicare freq of replacement: 1/week Wear time: Up to 7 days Application: Can be used as primary dressing Depth: Full thickness (deep) Depth: Partial thickness (shallow) Exudate: Low Exudate: Moderate Indications: May be applied over infected tissue Medicare freq of replacement: 1/week Wear time: Up to 7 days Application: Can be used as primary dressing Depth: Full thickness (deep) Depth: Partial thickness (shallow) Exudate: Low Exudate: Moderate Indications: May be applied over infected tissue Medicare freq of replacement: 1/week Wear time: Up to 7 days Application: Can be used as primary dressing Depth: Full thickness (deep) Depth: Partial thickness (shallow) Exudate: Low Exudate: Moderate Indications: May be applied over infected tissue Medicare freq of replacement: 1/week Wear time: Up to 7 days Application: Can be used as primary dressing Depth: Full thickness (deep) Depth: Partial thickness (shallow) Exudate: Low Exudate: Moderate Indications: May be applied over infected tissue Medicare freq of replacement: 1/week Wear time: Up to 7 days Application: Can be used as primary dressing Depth: Full thickness (deep) Depth: Partial thickness (shallow) Exudate: Low Exudate: Moderate Indications: May be applied over infected tissue Medicare freq of replacement: 1/week Wear time: Up to 7 days Based on national averages Medicare payments for participating qualified health professionals (QHP) for services performed in their Offices (*) or at a Facility (** i.e., hospital outpatient department or ambulatory service center)

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