Not one-page-per-fiche, but the 13 x 11 ones? (or whatever they are - I don't remember for sure)
Text tends to be difficult to read if scanned at less than around 150dpi, so cramming 11 sheets' width into an inch of space really needs a minimum of 150 * 8.2 * 11 = 13,500dpi scanner resolution (not accounting for the gaps between sheets, and 8.2" being the width of an A4 sheet)
We did try sending a fiche off to a professional scanning place, and even their equipment just wouldn't handle it - the results were just a blurry mess :-(
Scanners do exist that should handle them OK, but they tend to cost upwards of 20k...
cheers
Jules