Products billed under this code include Sodium Chloride.
The billing unit for this code changed over time, so payment limits from different quarters may not be directly comparable. Check the billing unit column below.
Payment limit per 250 CC, 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 | 48 | $34.416 |
| Sodium Chloride | B. Braun Medical Inc. | 00264-5802-10 | 48 | $34.416 |
| Sodium Chloride | B. Braun Medical Inc. | 00264-7800-00 | 48 | $34.416 |
| Sodium Chloride | B. Braun Medical Inc. | 00264-7800-09 | 48 | $34.416 |
| Sodium Chloride | B. Braun Medical Inc. | 00264-7800-10 | 48 | $34.416 |
| Sodium Chloride | B. Braun Medical Inc. | 00264-7800-20 | 24 | $17.208 |
| Sodium Chloride | Baxter Healthcare Corporation | 00338-0049-02 | 1 | $0.717 |
| Sodium Chloride | Baxter Healthcare Corporation | 00338-0049-03 | 2 | $1.434 |
| Sodium Chloride | Baxter Healthcare Corporation | 00338-0049-04 | 4 | $2.868 |
| Sodium Chloride | Baxter Healthcare Corporation | 00338-9543-01 | 30 | $21.51 |
| Product | Labeler | NDC | Units / pkg | Limit / pkg |
|---|---|---|---|---|
| Sodium Chloride | Baxter Healthcare Corporation | 00338-9543-02 | 1 | $0.717 |
| Sodium Chloride | Baxter Healthcare Corporation | 00338-9543-03 | 2 | $1.434 |
| Sodium Chloride | Baxter Healthcare Corporation | 00338-9543-04 | 40 | $28.68 |
| Sodium Chloride | Baxter Healthcare Corporation | 00338-9543-05 | 4 | $2.868 |
| Sodium Chloride | Baxter Healthcare Corporation | 00338-9543-06 | 40 | $28.68 |
| Sodium Chloride | Baxter Healthcare Corporation | 00338-9791-40 | 40 | $28.68 |
| Sodium Chloride | Baxter Healthcare Corporation | 00338-9793-12 | 48 | $34.416 |
| Sodium Chloride | Baxter Healthcare Corporation | 00338-9804-40 | 40 | $28.68 |
| Sodium Chloride | Baxter Healthcare Corporation | 00338-9806-12 | 48 | $34.416 |
| Sodium Chloride | Baxter Healthcare Corporation | 00338-9808-24 | 48 | $34.416 |
| Sodium Chloride | Baxter Healthcare Corporation | 00338-9810-24 | 24 | $17.208 |
| Sodium Chloride | Pfizer Inc | 00409-7101-02 | 24 | $17.208 |
| Sodium Chloride | Nephron SC, Inc. | 00487-4301-25 | 35 | $25.095 |
| Sodium Chloride | Nephron SC, Inc. | 00487-4301-50 | 36 | $25.812 |
| Sodium Chloride | ICu Medical Inc. | 00990-7983-02 | 24 | $17.208 |
| Sodium Chloride | ICu Medical Inc. | 00990-7983-03 | 48 | $34.416 |
| Sodium Chloride | ICu Medical Inc. | 00990-7983-09 | 48 | $34.416 |
| Sodium Chloride | ICu Medical Inc. | 00990-7983-55 | 36 | $25.812 |
| Sodium Chloride | HF Acquisition Co. LLC, DBA HealthFirst | 51662-1517-01 | 1 | $0.717 |
| Sodium Chloride | HF Acquisition Co. LLC, DBA HealthFirst | 51662-1518-01 | 4 | $2.868 |
| Sodium Chloride | HF Acquisition Co. LLC, DBA HealthFirst | 51662-1522-01 | 2 | $1.434 |
| Sodium Chloride | FreseniUS Kabi USA, LLC | 63323-0623-74 | 30 | $21.51 |
| Sodium Chloride | FreseniUS Kabi USA, LLC | 63323-0623-75 | 40 | $28.68 |
| Sodium Chloride | FreseniUS Kabi USA, LLC | 63323-0623-76 | 40 | $28.68 |
| Sodium Chloride | FreseniUS Kabi USA, LLC | 65219-0222-25 | 30 | $21.51 |
| Sodium Chloride | FreseniUS Kabi USA, LLC | 65219-0224-50 | 40 | $28.68 |
| Sodium Chloride | FreseniUS Kabi USA, LLC | 65219-0282-10 | 40 | $28.68 |
| Sodium Chloride | FreseniUS Kabi USA, LLC | 65219-0470-30 | 30 | $21.51 |
| Sodium Chloride | FreseniUS Kabi USA, LLC | 65219-0472-20 | 40 | $28.68 |
| Sodium Chloride | FreseniUS Kabi USA, LLC | 65219-0474-10 | 40 | $28.68 |
| Sodium Chloride | Sola Pharmaceuticals | 70512-0841-26 | 28 | $20.076 |
| Sodium Chloride | Sola Pharmaceuticals | 70512-0841-51 | 40 | $28.68 |
| Sodium Chloride | Sola Pharmaceuticals | 70512-0841-61 | 40 | $28.68 |
| Quarter | Payment limit | Change | Billing unit | Description | Source file |
|---|---|---|---|---|---|
| 4Q26 | $0.717 | +$0.014 | 250 CC | Normal saline solution infus | v1, posted September 17, 2026 |
| 3Q26 | $0.703 | $0.00 | 250 CC | Normal saline solution infus | v1, posted September 15, 2026 |
| 2Q26 | $0.703 | +$0.039 | 250 CC | Normal saline solution infus | v1, posted September 15, 2026 |
| 1Q26 | $0.664 | +$0.015 | 250 CC | Normal saline solution infus | v1, posted September 15, 2026 |
| 4Q25 | $0.649 | −$0.062 | 250 CC | Normal saline solution infus | v1, posted September 8, 2026 |
| 3Q25 | $0.711 | +$0.093 | 250 CC | Normal saline solution infus | v1, posted March 10, 2026 |
| 2Q25 | $0.618 | −$0.008 | 250 CC | Normal saline solution infus | v1, posted March 10, 2026 |
| 1Q25 | $0.626 | −$0.016 | 250 CC | Normal saline solution infus | v1, posted December 19, 2025 |
| 4Q24 | $0.642 | – | 250 CC | Normal saline solution infus | v1, posted June 11, 2025 |
| 3Q24 | $0.672 | +$0.02 | 250 ML | Normal saline solution infus | v1, posted June 11, 2025 |
| 2Q24 | $0.652 | −$0.021 | 250 ML | Normal saline solution infus | v1, posted March 11, 2025 |
| 1Q24 | $0.673 | +$0.028 | 250 ML | Normal saline solution infus | v1, posted December 19, 2024 |
| 4Q23 | $0.645 | +$0.01 | 250 ML | Normal saline solution infus | v1, posted October 10, 2024 |
| 3Q23 | $0.635 | −$0.011 | 250 ML | Normal saline solution infus | v1, posted June 5, 2024 |
| 2Q23 | $0.646 | −$0.014 | 250 ML | Normal saline solution infus | v1, posted February 23, 2024 |
| 1Q23 | $0.66 | −$0.012 | 250 ML | Normal saline solution infus | v1, posted December 6, 2023 |
| 4Q22 | $0.672 | −$0.006 | 250 ML | Normal saline solution infus | v1, posted June 22, 2023 |
| 3Q22 | $0.678 | +$0.039 | 250 ML | Normal saline solution infus | v1, posted June 9, 2023 |
| 2Q22 | $0.639 | −$0.045 | 250 ML | Normal saline solution infus | v1, posted December 14, 2022 |
| 1Q22 | $0.684 | +$0.035 | 250 ML | Normal saline solution infus | v1, posted June 8, 2022 |
| 4Q21 | $0.649 | −$0.074 | 250 ML | Normal saline solution infus | v1, posted June 2, 2022 |
| 3Q21 | $0.723 | +$0.025 | 250 ML | Normal saline solution infus | v1, posted June 2, 2022 |
| 2Q21 | $0.698 | +$0.015 | 250 ML | Normal saline solution infus | v1, posted March 1, 2022 |
| 1Q21 | $0.683 | – | 250 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.
