Monarch Medical Products

The Ring pessary is primarily used for a mild first-degree uterine prolapse or a cystocele. The Ring pessary with knob may also relieve stress urinary incontinence. Both pessaries are available with or without a supporting membrane.

HCPCS Reimbursement Code for Pessary - A4562
Code for Office Visit - 99214
CPT Code for Fitting & Insertion - 57160

SKU #	Description	Price
1610175	Ring Pessary Without Support, 1.75" #0	$45
1610200	Ring Pessary Without Support, 2" #1	$45
1610225	Ring Pessary Without Support, 2.25" #2	$45
1610250	Ring Pessary Without Support, 2.5" #3	$45
1610275	Ring Pessary Without Support, 2.75" #4	$45
1610300	Ring Pessary Without Support, 3" #5	$45
1610325	Ring Pessary Without Support, 3.25" #6	$45
1610350	Ring Pessary Without Support, 3.5" #7	$45
1610375	Ring Pessary Without Support, 3.75" #8	$45
1610400	Ring Pessary Without Support, 4" #9	$45
1611175	Ring Pessary With Support, 1.75" #0	$45
1611200	Ring Pessary With Support, 2" #1	$45
1611225	Ring Pessary With Support, 2.25" #2	$45
1611250	Ring Pessary With Support, 2.5" #3	$45
1611275	Ring Pessary With Support, 2.75" #4	$45
1611300	Ring Pessary With Support, 3" #5	$45
1611325	Ring Pessary With Support, 3.25" #6	$45
1611350	Ring Pessary With Support, 3.5" #7	$45
1611375	Ring Pessary With Support, 3.75" #8	$45
1611400	Ring Pessary With Support, 4" #9	$45
1619175	Ring Pessary With Knob Without Support, 1.75" #0	$45
1619200	Ring Pessary With Knob Without Support, 2" #1	$45
1619225	Ring Pessary With Knob Without Support, 2.25" #2	$45
1619250	Ring Pessary With Knob Without Support, 2.5" #3	$45
1619275	Ring Pessary With Knob Without Support, 2.75" #4	$45
1619300	Ring Pessary With Knob Without Support, 3" #5	$45
1619325	Ring Pessary With Knob Without Support, 3.25" #6	$45
1619350	Ring Pessary With Knob Without Support, 3.5" #7	$45
1620175	Ring Pessary With Knob With Support, 1.75" #0	$45
1620200	Ring Pessary With Knob With Support, 2" #1	$45
1620225	Ring Pessary With Knob With Support, 2.25" #2	$45
1620250	Ring Pessary With Knob With Support, 2.5" #3	$45
1620275	Ring Pessary With Knob With Support, 2.75" #4	$45
1620300	Ring Pessary With Knob With Support, 3" #5	$45
1620325	Ring Pessary With Knob With Support, 3.25" #6	$45
1620350	Ring Pessary With Knob With Support, 3.5" #7	$45