SenSura Mio Flex Closed Pouch
- Brand
- Coloplast
- 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
- 30
- Flange sizes
- Coupling Green, Coupling Red, Coupling Yellow
- HCPCS code(s)
- A4419 (Coloplast product page (variant name))
- Lowest cash price seen
- From $57.66 / Box of 30 ($1.92 each)
Vitality Medical, Nov 4, 2026 - Source
- products.coloplast.us · 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 |
|---|---|---|---|---|
12202 | Maxi - Coupling: Green - with filter - Opaque gray | 30 per box | A4419 | $60.25 / Box of 30 Vitality Medical · Nov 4, 2026 |
12203 | Maxi - Coupling: Green - with filter Transparent | 30 per box | A4419 | $57.90 / Box of 30 Vitality Medical · Nov 4, 2026 |
12213 | Maxi - Coupling: Red - with filter, Opaque gray | 30 per box | A4419 | $57.66 / Box of 30 Vitality Medical · Nov 4, 2026 |
12216 | Maxi - Coupling: Red - with filter Transparent | 30 per box | A4419 | $59.96 / Box of 30 Vitality Medical · Nov 4, 2026 |
12222 | Maxi - Coupling: Yellow - with filter, Opaque gray | 30 per box | A4419 | $59.08 / Box of 30 Vitality Medical · Nov 4, 2026 |
12223 | Maxi - Coupling: Yellow - with filter Transparent | 30 per box | A4419 | $57.90 / Box of 30 Vitality Medical · Nov 4, 2026 |
19769 | Maxi - Coupling Green - with filter, Opaque black | 30 per box | A4419 | $57.90 / Box of 30 Vitality Medical · Nov 4, 2026 |
19772 | Maxi - Coupling Red - with filter, Opaque black | 30 per box | A4419 | $85.76 / Box of 30 Vitality Medical · Nov 4, 2026 |
19773 | Maxi - Coupling Yellow - with filter, Opaque black | 30 per box | A4419 | $57.90 / 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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