Normal saline solution infus
Products billed under this code include Sodium Chloride.
Payment limit per 500 ML, by effective quarter, 1Q21 to 4Q26. Gaps mean the code was not in that quarter’s file, or CMS gave no payment limit.Products billed under this code include Sodium Chloride.
Payment limit per 500 ML, by effective quarter, 1Q21 to 4Q26. Gaps mean the code was not in that quarter’s file, or CMS gave no payment limit.From the 4Q26 NDC–HCPCS crosswalk. “Limit / pkg” is the 4Q26 payment limit times the billing units in one package.
| Product | Labeler | NDC | Units / pkg | Limit / pkg |
|---|---|---|---|---|
| Sodium Chloride | B. Braun Medical Inc. | 00264-5802-00 | 24 | $33.24 |
| Sodium Chloride | B. Braun Medical Inc. | 00264-5802-10 | 24 | $33.24 |
| Sodium Chloride | B. Braun Medical Inc. | 00264-7800-00 | 24 | $33.24 |
| Sodium Chloride | B. Braun Medical Inc. | 00264-7800-09 | 24 | $33.24 |
| Sodium Chloride | B. Braun Medical Inc. | 00264-7800-10 | 24 | $33.24 |
| Sodium Chloride | B. Braun Medical Inc. | 00264-7800-20 | 12 | $16.62 |
| Sodium Chloride | Baxter Healthcare Corporation | 00338-0049-02 | 1 | $1.385 |
| Sodium Chloride | Baxter Healthcare Corporation | 00338-0049-03 | 1 | $1.385 |
| Sodium Chloride | Baxter Healthcare Corporation | 00338-0049-04 | 2 | $2.77 |
| Sodium Chloride | Baxter Healthcare Corporation | 00338-9543-01 | 15 | $20.775 |
| Product | Labeler | NDC | Units / pkg | Limit / pkg |
|---|---|---|---|---|
| Sodium Chloride | Baxter Healthcare Corporation | 00338-9543-02 | 1 | $1.385 |
| Sodium Chloride | Baxter Healthcare Corporation | 00338-9543-03 | 1 | $1.385 |
| Sodium Chloride | Baxter Healthcare Corporation | 00338-9543-04 | 20 | $27.70 |
| Sodium Chloride | Baxter Healthcare Corporation | 00338-9543-05 | 2 | $2.77 |
| Sodium Chloride | Baxter Healthcare Corporation | 00338-9543-06 | 20 | $27.70 |
| Sodium Chloride | Baxter Healthcare Corporation | 00338-9791-40 | 20 | $27.70 |
| Sodium Chloride | Baxter Healthcare Corporation | 00338-9793-12 | 24 | $33.24 |
| Sodium Chloride | Baxter Healthcare Corporation | 00338-9804-40 | 20 | $27.70 |
| Sodium Chloride | Baxter Healthcare Corporation | 00338-9806-12 | 24 | $33.24 |
| Sodium Chloride | Baxter Healthcare Corporation | 00338-9808-24 | 24 | $33.24 |
| Sodium Chloride | Baxter Healthcare Corporation | 00338-9810-24 | 24 | $33.24 |
| Sodium Chloride | Pfizer Inc | 00409-7101-02 | 12 | $16.62 |
| Sodium Chloride | Nephron SC, Inc. | 00487-4301-25 | 18 | $24.93 |
| Sodium Chloride | Nephron SC, Inc. | 00487-4301-50 | 18 | $24.93 |
| Sodium Chloride | ICu Medical Inc. | 00990-7983-02 | 12 | $16.62 |
| Sodium Chloride | ICu Medical Inc. | 00990-7983-03 | 24 | $33.24 |
| Sodium Chloride | ICu Medical Inc. | 00990-7983-09 | 24 | $33.24 |
| Sodium Chloride | ICu Medical Inc. | 00990-7983-55 | 18 | $24.93 |
| Sodium Chloride | HF Acquisition Co. LLC, DBA HealthFirst | 51662-1517-01 | 1 | $1.385 |
| Sodium Chloride | HF Acquisition Co. LLC, DBA HealthFirst | 51662-1518-01 | 2 | $2.77 |
| Sodium Chloride | HF Acquisition Co. LLC, DBA HealthFirst | 51662-1522-01 | 1 | $1.385 |
| Sodium Chloride | FreseniUS Kabi USA, LLC | 63323-0623-74 | 15 | $20.775 |
| Sodium Chloride | FreseniUS Kabi USA, LLC | 63323-0623-75 | 20 | $27.70 |
| Sodium Chloride | FreseniUS Kabi USA, LLC | 63323-0623-76 | 20 | $27.70 |
| Sodium Chloride | FreseniUS Kabi USA, LLC | 65219-0222-25 | 15 | $20.775 |
| Sodium Chloride | FreseniUS Kabi USA, LLC | 65219-0224-50 | 20 | $27.70 |
| Sodium Chloride | FreseniUS Kabi USA, LLC | 65219-0282-10 | 20 | $27.70 |
| Sodium Chloride | FreseniUS Kabi USA, LLC | 65219-0470-30 | 15 | $20.775 |
| Sodium Chloride | FreseniUS Kabi USA, LLC | 65219-0472-20 | 20 | $27.70 |
| Sodium Chloride | FreseniUS Kabi USA, LLC | 65219-0474-10 | 20 | $27.70 |
| Sodium Chloride | Sola Pharmaceuticals | 70512-0841-26 | 14 | $19.39 |
| Sodium Chloride | Sola Pharmaceuticals | 70512-0841-51 | 20 | $27.70 |
| Sodium Chloride | Sola Pharmaceuticals | 70512-0841-61 | 20 | $27.70 |
| Quarter | Payment limit | Change | Billing unit | Description | Source file |
|---|---|---|---|---|---|
| 4Q26 | $1.385 | +$0.035 | 500 ML | Normal saline solution infus | v1, posted September 17, 2026 |
| 3Q26 | $1.35 | −$0.005 | 500 ML | Normal saline solution infus | v1, posted September 15, 2026 |
| 2Q26 | $1.355 | +$0.069 | 500 ML | Normal saline solution infus | v1, posted September 15, 2026 |
| 1Q26 | $1.286 | +$0.026 | 500 ML | Normal saline solution infus | v1, posted September 15, 2026 |
| 4Q25 | $1.26 | −$0.116 | 500 ML | Normal saline solution infus | v1, posted September 8, 2026 |
| 3Q25 | $1.376 | +$0.141 | 500 ML | Normal saline solution infus | v1, posted March 10, 2026 |
| 2Q25 | $1.235 | −$0.017 | 500 ML | Normal saline solution infus | v1, posted March 10, 2026 |
| 1Q25 | $1.252 | −$0.031 | 500 ML | Normal saline solution infus | v1, posted December 19, 2025 |
| 4Q24 | $1.283 | −$0.062 | 500 ML | Normal saline solution infus | v1, posted June 11, 2025 |
| 3Q24 | $1.345 | +$0.041 | 500 ML | Normal saline solution infus | v1, posted June 11, 2025 |
| 2Q24 | $1.304 | −$0.042 | 500 ML | Normal saline solution infus | v1, posted March 11, 2025 |
| 1Q24 | $1.346 | +$0.057 | 500 ML | Normal saline solution infus | v1, posted December 19, 2024 |
| 4Q23 | $1.289 | +$0.019 | 500 ML | Normal saline solution infus | v1, posted October 10, 2024 |
| 3Q23 | $1.27 | −$0.022 | 500 ML | Normal saline solution infus | v1, posted June 5, 2024 |
| 2Q23 | $1.292 | −$0.028 | 500 ML | Normal saline solution infus | v1, posted February 23, 2024 |
| 1Q23 | $1.32 | −$0.025 | 500 ML | Normal saline solution infus | v1, posted December 6, 2023 |
| 4Q22 | $1.345 | −$0.011 | 500 ML | Normal saline solution infus | v1, posted June 22, 2023 |
| 3Q22 | $1.356 | +$0.078 | 500 ML | Normal saline solution infus | v1, posted June 9, 2023 |
| 2Q22 | $1.278 | −$0.09 | 500 ML | Normal saline solution infus | v1, posted December 14, 2022 |
| 1Q22 | $1.368 | +$0.07 | 500 ML | Normal saline solution infus | v1, posted June 8, 2022 |
| 4Q21 | $1.298 | −$0.149 | 500 ML | Normal saline solution infus | v1, posted June 2, 2022 |
| 3Q21 | $1.447 | +$0.051 | 500 ML | Normal saline solution infus | v1, posted June 2, 2022 |
| 2Q21 | $1.396 | +$0.031 | 500 ML | Normal saline solution infus | v1, posted March 1, 2022 |
| 1Q21 | $1.365 | – | 500 ML | Normal saline solution infus | v1, posted December 10, 2021 |
“Change” is the difference from the previous quarter, shown only when both quarters have a payment limit and the billing unit is the same. “vs. last quarter” and “vs. a year ago” follow the same rule.