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Natura + Two-Piece 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: Some variants
Box quantity: 30
Flange sizes: Not found in our sources
HCPCS code(s): A4419, A5054 (Convatec product page (ordering table))
Lowest cash price seen: From $53.28 / Box of 30 ($1.78 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
`421676`	Natura + Two-Piece Closed-End 8" Pouch, With Filter Opaque (With Window) with 2-sided comfort panel — Opaque	30	A4419	$54.49 / Box of 30 Vitality Medical · Nov 4, 2026
`421677`	Natura + Two-Piece Closed-End 8" Pouch, Without Filter Opaque (With Window) with 2-sided comfort panel — Opaque	30	A5054	$53.28 / Box of 30 Vitality Medical · Nov 4, 2026
`421678`	Natura + Two-Piece Closed-End 8" Pouch, With Filter Opaque (With Window) with 2-sided comfort panel — Opaque	30	A4419	$56.85 / Box of 30 Vitality Medical · Nov 4, 2026
`421679`	Natura + Two-Piece Closed-End 8" Pouch, Without Filter Opaque (With Window) with 2-sided comfort panel — Opaque	30	A5054	$54.82 / Box of 30 Vitality Medical · Nov 4, 2026
`421680`	Natura + Two-Piece Closed-End 8" Pouch, With Filter Opaque (With Window) with 2-sided comfort panel — Opaque	30	A4419	$56.85 / Box of 30 Vitality Medical · Nov 4, 2026
`421681`	Natura + Two-Piece Closed-End 8" Pouch, Without Filter Opaque (With Window) with 2-sided comfort panel — Opaque	30	A5054	$56.98 / Box of 30 Vitality Medical · Nov 4, 2026$54.95 / Box of 30 Vitality Medical · Nov 4, 2026
`421682`	Natura + Two-Piece Closed-End 8" Pouch, With Filter Opaque (With Window) with 2-sided comfort panel — Opaque	30	A4419	$61.71 / Box of 30 Vitality Medical · Nov 4, 2026
`421683`	Natura + Two-Piece Closed-End 8" Pouch, Without Filter Opaque (With Window) with 2-sided comfort panel — Opaque	30	A5054	$54.49 / Box of 30 Vitality Medical · Nov 4, 2026
`421796`	Natura + Two-Piece Closed-End 6 Pouch, With Filter Opaque (With Window) with 2-sided comfort panel — Opaque	30	A4419	$54.49 / Box of 30 Vitality Medical · Nov 4, 2026
`421797`	Natura + Two-Piece Closed-End 6 Pouch, With Filter Opaque (With Window) with 2-sided comfort panel — Opaque	30	A4419	$54.49 / Box of 30 Vitality Medical · Nov 4, 2026
`421798`	Natura + Two-Piece Closed-End 8" Pouch, With Filter Opaque (With Window) with 2-sided comfort panel — Opaque	30	A4419	$60.39 / Box of 30 Vitality Medical · Nov 4, 2026
`421893`	Natura + Two-Piece Closed-End 8" Pouch, Without Filter Opaque (With Window) with 2-sided comfort panel — Opaque	30	A5054	$53.28 / 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.
A5054: Ostomy pouch, closed; for use on barrier with flange (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.