Hi Alex -- It looks real, but that's always hard to tell from an Internet photo. Here is one that sold for $789 US dollars, with its picture and description:
Roma Numismatics Ltd > Auction XIX Auction date: 26 March 2020
Lot number: 858
Price realized: 650 GBP (Approx. 789 USD / 716 EUR / 761 CHF)
Manlia Scantilla (wife of D. Julianus) Æ Sestertius. Rome, AD 193. MANLIA SCANTILLA AVG, draped bust right / IVNO REGINA, Juno standing facing, head left, holding patera and sceptre; S-C across fields; at feet to left, peacock standing left. RIC 18a (Julianus); BMCRE 32-5 (Julianus); Banti 2A. 19.25g, 30mm, 6h.
Good Fine. Very Rare.
From the inventory of a European dealer.
Estimate: 250 GBP