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The Gellhorn pessary's stem is easily folded to facilitate insertion and removal.  The Gellhorn pessary has drains and is used to relieve the symptoms of cystocele or rectocele, as well as, second or third-degree uterine prolapse.


HCPCS Reimbursement Code for Pessary - A4562
Code for Office Visit - 99214
CPT Code for Fitting & Insertion - 57160
 
  SKU # Description Price  
 
1608150 Gellhorn Pessary, 1.5" #0 $45
 
 
1608175 Gellhorn Pessary, 1.75" #1 $45
 
 
1608200 Gellhorn Pessary, 2" #2 $45
 
 
1608225 Gellhorn Pessary, 2.25" #3 $45
 
 
1608250 Gellhorn Pessary, 2.5" #4 $45
 
 
1608275 Gellhorn Pessary, 2.75" #5 $45
 
 
1608300 Gellhorn Pessary, 3" #6 $45
 
 
1608325 Gellhorn Pessary, 3.25" #7 $45
 
 
1608350 Gellhorn Pessary, 3.5" #8 $45
 
 
1618150 Gellhorn Pessary, Short Stem, 1.5" #0 $45
 
 
1618175 Gellhorn Pessary, Short Stem, 1.75" #1 $45
 
 
1618200 Gellhorn Pessary, Short Stem, 2" #2 $45
 
 
1618225 Gellhorn Pessary, Short Stem, 2.25" #3 $45
 
 
1618250 Gellhorn Pessary, Short Stem, 2.5" #4 $45
 
 
1618275 Gellhorn Pessary, Short Stem, 2.75" #5 $45
 
 
1618300 Gellhorn Pessary, Short Stem, 3" #6 $45
 
 
1618325 Gellhorn Pessary, Short Stem, 3.25" #7 $45
 
 
1618350 Gellhorn Pessary, Short Stem, 3.5" #8 $45
 
 
 
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