Description:CPT. NON-FACILITY FACILITY. ADA. MODIFIER. PAY. WORK. PE. PE. MPE GLOBAL CONVERSION. HCPCS MODIFIER. LEVEL. STATUS. RVU. RVU. RVU. RVU PERIOD. FACTOR. 69603. 203. C. 14.08. 16.45. 16.45 1.14. 090. 51.86. 69604. 203. C. 14.08. 12.79. 12.79 1.14. 090. 51.86. 69605. 202.