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Pessaries - Dish

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The Dish pessary is available with or without a supporting membrane. This pessary is used to relieve the stress of a second or third-degree uterine prolapse, a cystocele, or rectocele. It may also relieve stress urinary incontinence
HCPCS Reimbursement Code for Pessary - A4562
Code for the Office Visit - 99214
CPT Procedure Code for Fitting & Insertion: 57160

Model: 1604050
Dish Pessary Without Support, 50mm #0..
$65.00
Ex Tax:$65.00
Model: 1604055
Dish Pessary Without Support, 55mm #1..
$65.00
Ex Tax:$65.00
Model: 1604060
Dish Pessary Without Support, 60mm #2..
$65.00
Ex Tax:$65.00
Model: 1604065
Dish Pessary Without Support, 65mm #3..
$65.00
Ex Tax:$65.00
Model: 1604070
Dish Pessary Without Support, 70mm #4..
$65.00
Ex Tax:$65.00
Model: 1604075
Dish Pessary Without Support, 75mm #5..
$65.00
Ex Tax:$65.00
Model: 1604080
Dish Pessary Without Support, 80mm #6..
$65.00
Ex Tax:$65.00
Model: 1604085
Dish Pessary Without Support, 85mm #7..
$65.00
Ex Tax:$65.00
Model: 1605050
Dish Pessary With Support, 50mm #0..
$65.00
Ex Tax:$65.00
Model: 1655055
Dish Pessary With Support, 55mm #1..
$65.00
Ex Tax:$65.00
Model: 1655060
Dish Pessary With Support, 60mm #2..
$65.00
Ex Tax:$65.00
Model: 1655065
Dish Pessary With Support, 65mm #3..
$65.00
Ex Tax:$65.00
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