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The Donut Pessary can be easily compressed for insertion and removal.  It is often used by post-menopausal women and may be used to relieve the stress of a second or third-degree uterine prolapse, a cystocele, or rectocele.


HCPCS Reimbursement Code for Pessary - A4562
Code for Office Visit - 99214
CPT Code for Fitting & Insertion - 57160
 
  SKU # Description Price  
 
1607200 Donut Pessary, 2" #0 $45
 
 
1607225 Donut Pessary, 2.25" #1 $45
 
 
1607250 Donut Pessary, 2.5" #2 $45
 
 
1607275 Donut Pessary, 2.75" #3 $45
 
 
1607300 Donut Pessary, 3" #4 $45
 
 
1607325 Donut Pessary, 3.25" #5 $45
 
 
1607350 Donut Pessary, 3.5" #6 $45
 
 
1607375 Donut Pessary, 3.75" #7 $45
 
 
 
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