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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
 

  SKU # Description Price  
 
Pessary-Oval 1606200 Oval Pessary With Support, 2" #1 $45
 
 
Pessary-Oval 1606225 Oval Pessary With Support, 2.25" #2 $45
 
 
Pessary-Oval 1606250 Oval Pessary With Support, 2.5" #3 $45
 
 
Pessary-Oval 1606275 Oval Pessary With Support, 2.75" #4 $45
 
 
Pessary-Oval 1606300 Oval Pessary With Support, 3" #5 $45
 
 
Pessary-Oval 1606325 Oval Pessary With Support, 3.25" #6 $45
 
 
Pessary-Oval 1606350 Oval Pessary With Support, 3.5" #7 $45
 
 
Pessary-Oval 1606375 Oval Pessary With Support, 3.75" #8 $45
 
 
Pessary-Oval 1606400 Oval Pessary With Support, 4" #9 $45
 
 
Pessary-Oval 1617200 Oval Pessary Without Support, 2" #1 $45
 
 
Pessary-Oval 1617225 Oval Pessary Without Support, 2.25" #2 $45
 
 
Pessary-Oval 1617250 Oval Pessary Without Support, 2.5" #3 $45
 
 
Pessary-Oval 1617275 Oval Pessary Without Support, 2.75" #4 $45
 
 
Pessary-Oval 1617300 Oval Pessary Without Support, 3" #5 $45
 
 
Pessary-Oval 1617325 Oval Pessary Without Support, 3.25" #6 $45
 
 
Pessary-Oval 1617350 Oval Pessary Without Support, 3.5" #7 $45
 
 
Pessary-Oval 1617375 Oval Pessary Without Support, 3.75" #8 $45
 
 
Pessary-Oval 1617400 Oval Pessary Without Support, 4" #9 $45
 
 
 
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