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Pessaries - Oval

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The Oval pessary is commonly used for a mild first-degree uterine prolapse or a cystocele. The oval shape inhibits rotation of the pessary in women with a history of vaginal surgery and it is available with or without a supporting membrane.
HCPCS Reimbursement Code for Pessary - A4562
Code for the Office Visit - 99214
CPT Procedure Code for Fitting & Insertion - 57160


Model: 1617200
Oval Pessary Without Support, 2" #1..
$65.00
Ex Tax:$65.00
Model: 1617225
Oval Pessary Without Support, 2.25" #2..
$65.00
Ex Tax:$65.00
Model: 1617250
Oval Pessary Without Support, 2.5" #3..
$65.00
Ex Tax:$65.00
Model: 1607000
Oval Pessary Fitting Set with support Set of 6  : Sizes, #2 (2.25inch), #3 (2.5inch) ,#4 (2.75inch), #5 (3inch), #6 (3.25inch), #7 (3.5inch)..
$145.00
Ex Tax:$145.00
Model: 1617275
Oval Pessary Without Support, 2.75" #4..
$65.00
Ex Tax:$65.00
Model: 1617300
Oval Pessary Without Support, 3" #5..
$65.00
Ex Tax:$65.00
Model: 1617325
Oval Pessary Without Support, 3.25" #6..
$65.00
Ex Tax:$65.00
Model: 1617350
Oval Pessary Without Support, 3.5" #7..
$65.00
Ex Tax:$65.00
Model: 1617375
Oval Pessary Without Support, 3.75" #8..
$65.00
Ex Tax:$65.00
Model: 1617400
Oval Pessary Without Support, 4" #9..
$65.00
Ex Tax:$65.00
Model: 1606200
Oval Pessary With Support, 2" #1..
$65.00
Ex Tax:$65.00
Model: 1606225
Oval Pessary With Support, 2.25" #2..
$65.00
Ex Tax:$65.00
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